Provider Demographics
NPI:1720024359
Name:YOKES FOOD INC
Entity Type:Organization
Organization Name:YOKES FOOD INC
Other - Org Name:YOKES PHARMACY #21
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:509-921-2292
Mailing Address - Street 1:2520 39TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-1029
Mailing Address - Country:US
Mailing Address - Phone:406-251-7170
Mailing Address - Fax:406-251-0340
Practice Address - Street 1:800 W BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-3944
Practice Address - Country:US
Practice Address - Phone:406-721-6009
Practice Address - Fax:406-721-6021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT28282333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1720024359Medicaid
2150151OtherPK
MTP00229889Medicare PIN
MTPCH015Medicare PIN
2704939OtherOTHER ID NUMBER-COMMERCIAL NUMBER
MT231205Medicaid